<% if ucase(request.form("submitted")) = "TRUE" then msgBody = "" & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & " Mick Nuclear WebSite Submission" & vbcrlf msgBody = msgBody & " " & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & " " & vbcrlf msgBody = msgBody & " " & vbcrlf msgBody = msgBody & " " & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & "" & vbcrlf msgBody = msgBody & "
" & vbcrlf msgBody = msgBody & "
" & vbcrlf msgBody = msgBody & " " & vbcrlf msgBody = msgBody & " " & vbcrlf msgBody = msgBody & " " & vbcrlf msgBody = msgBody & " " & vbcrlf msgBody = msgBody & "
" & vbcrlf msgBody = msgBody & "
 
A New Submission Has Been Made Via the Website. The Information Submitted is below:
------------------------------------------------------------------------------------------
" & vbcrlf msgBody = msgBody & "Name: " & request.form("requiredname") & "
" msgBody = msgBody & "Hospital: " & request.form("hospital") & "
" msgBody = msgBody & "Department: " & request.form("department") & "
" msgBody = msgBody & "Address: " & request.form("address") & "
" msgBody = msgBody & "Phone: " & request.form("requiredphone") & "
" msgBody = msgBody & "Extension: " & request.form("extension") & "
" msgBody = msgBody & "Fax: " & request.form("fax") & "
" msgBody = msgBody & "Email: " & request.form("requiredemail") & "
" msgBody = msgBody & "Website: " & request.form("website") & "
" msgBody = msgBody & "Send Catalog: " & request.form("sand_catalog") & "
" msgBody = msgBody & "Comments: " & request.form("comments") & "
" msgBody = msgBody & "Current Customer: " & request.form("current_customer") & "
" msgBody = msgBody & "Referred: " & request.form("reffered") & "
" msgBody = msgBody & "Publication: " & request.form("publication") & "
" msgBody = msgBody & "Attended Event: " & request.form("attended_event") & "
" msgBody = msgBody & "Event Name: " & request.form("event_name") & "
" msgBody = msgBody & "Event Address: " & request.form("event_address") & "
" msgBody = msgBody & "Event Date: " & request.form("event_date") & "
" subject = "New Submission From the Website" recipient = "maria@micknuclear.com" sendEmail recipient, subject, msgBody msgBody = msgBody & "
" & vbcrlf end if function sendEmail (recipient, subject, message) Dim objMail Dim objConfig Dim objFields Set objMail = CreateObject("CDO.Message") Set objConfig = CreateObject("CDO.configuration") Set objFields = objConfig.Fields With objFields .Item("http://schemas.microsoft.com/cdo/configuration/SendUsing")= 2 .Item("http://schemas.microsoft.com/cdo/configuration/smtpserver") = "192.168.0.202" .Item("http://schemas.microsoft.com/cdo/configuration/smtpServerPort")= 25 .Update End With With objMail Set .Configuration = objConfig .To = recipient '.Bcc = bcc '.Cc = cc .From = """Micknuclear Website Submission System"" " .Subject = subject .HTMLBody = message .Send End With end function %> Contact Us

DeRosa, Rockefeller, Sohigian & Werdal, Inc. (DRS&W) respects the privacy concerns of the users of its Internet site and has created this privacy statement to explain what information we gather from your visit to our site and how such information may be used.

This Site contains links to Internet sites of DeRosa, Rockefeller, Sohigian & Werdal, Inc. members, state associations, and other businesses and resources, and each Internet site may have its own privacy and data collection policies and practices. DeRosa, Rockefeller, Sohigian & Werdal, Inc. is not responsible for the privacy and data collection policies and practices of any of its members, state associations or other businesses and resources, or for the content of their Internet sites. Users interested in the privacy and data collection policies and practices of DeRosa, Rockefeller, Sohigian & Werdal, Inc. members, state associations or other businesses and resources should review the policies of the Internet sites they choose to access.

DeRosa, Rockefeller, Sohigian & Werdal, Inc. makes no representations or warranties of any kind, express or implied, about the Internet sites of its members, state associations or other businesses and resources, and DeRosa, Rockefeller, Sohigian & Werdal, Inc. disclaims all warranties and responsibilities of any kind, including, without limitation, warranties and responsibilities with respect to DeRosa, Rockefeller, Sohigian & Werdal, Inc. members’, state associations’, and other businesses’ and resources’ Internet sites, content, privacy and data collection policies and practices, and actions.

Use of Information
As a general policy no personally identifiable information, such as your name, address, or e-mail address, is automatically collected from your visit to DeRosa, Rockefeller, Sohigian & Werdal, Inc. web site.

Our site's various registration forms may request that you give us contact information (such as name, mail and/or e-mail address), demographic information (such as your age and gender) and profile data (such as your type of business). Personally identifiable information is never sold or leased to any third parties. With your permission, we may use your contact information to send newsletters and/or information about what we're doing. You may always opt-out of receiving future mailings.

Our site uses various online forms for you to request information, quotes, and services. We collect contact information (such as your name, mailing and/or e-mail address), and when appropriate, personal information (Social Security Number, Drivers License Number, etc...) to process your quote request. Contact information from an online form is used to provide insurance quotes and information, and to provide information about our company to you if requested. The contact information is also used to get in touch with you when necessary regarding your insurance policies. Financial information that is collected is used to process your request for quotes and services, and will not be shared with third parties who are not involved with the transaction.

DeRosa, Rockefeller, Sohigian & Werdal, Inc. may disclose user information in special cases when we have reason to believe that disclosing this information is necessary to identify, contact or bring legal action against someone who may be causing injury to or interference (either intentionally or unintentionally) with DRS&W rights or property, other DRS&W web site users, or anyone else that could be harmed by such activities.

Security
Security for all personally identifiable information is extremely important to us. Unfortunately, no data transmission over the Internet can be guaranteed to be 100% secure. As a result, while we strive to protect your personal information, DeRosa, Rockefeller, Sohigian & Werdal, Inc. cannot ensure or warrant the security of any information you transmit to us or from our online products or services, and you do so at your own risk. Once we receive your transmission, we make our best effort to ensure its security on our systems.

Choice/Opt-Out
Our Site may provide you the opportunity to opt-in to receive communications from us at the point where we request information about you. You always have the option of removing your name from any e-mail list to not receive future communications. In order to ensure immediate removal from any list, it is best to follow the specific instructions outlined within the communications you receive from us. However, if you are unable to complete the process indicated in the communications, then just send us an e-mail at info@drswinsurance.com with a copy of the undesired e-mail attached to the request and state that you wish to be removed from the mailing list.

Contact Us
If you have any questions about this privacy statement, the practices of our Site, or your dealings with our Site, you can contact:
47 Halstead Avenue, Suite #208
Harrison, New York 10528
Phone: (914) 381-0900
Fax:       (914) 381-1038